NZ229402A - Hirudin derivative bound to a soluble carrier - Google Patents

Hirudin derivative bound to a soluble carrier

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Publication number
NZ229402A
NZ229402A NZ229402A NZ22940289A NZ229402A NZ 229402 A NZ229402 A NZ 229402A NZ 229402 A NZ229402 A NZ 229402A NZ 22940289 A NZ22940289 A NZ 22940289A NZ 229402 A NZ229402 A NZ 229402A
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New Zealand
Prior art keywords
hirudin
lys
gly
glu
carrier
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NZ229402A
Inventor
Peter Crause
Paul Habermann
Martin Kramer
Rainer Obermeier
Klaus Sauber
Dominique Tripier
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Hoechst Ag
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Application filed by Hoechst Ag filed Critical Hoechst Ag
Publication of NZ229402A publication Critical patent/NZ229402A/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K17/00Carrier-bound or immobilised peptides; Preparation thereof
    • C07K17/02Peptides being immobilised on, or in, an organic carrier
    • C07K17/10Peptides being immobilised on, or in, an organic carrier the carrier being a carbohydrate
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/81Protease inhibitors
    • C07K14/815Protease inhibitors from leeches, e.g. hirudin, eglin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/56Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
    • A61K47/61Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule the organic macromolecular compound being a polysaccharide or a derivative thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biochemistry (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Molecular Biology (AREA)
  • Genetics & Genomics (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Biophysics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Epidemiology (AREA)
  • Tropical Medicine & Parasitology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Diabetes (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Peptides Or Proteins (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Preparation Of Compounds By Using Micro-Organisms (AREA)
  • Heterocyclic Carbon Compounds Containing A Hetero Ring Having Oxygen Or Sulfur (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
  • Hydrogenated Pyridines (AREA)

Abstract

The present invention relates to hirudin derivatives which are formed from hirudin or its physiologically acceptable salt and of a carrier, to a process for the preparation thereof and to the use thereof as thrombin inhibitor.

Description

<div class="application article clearfix" id="description"> <p class="printTableText" lang="en">New Zealand Paient Spedficaiion for Paient Number £29402 <br><br> 22 9 4 0 2 <br><br> Priority Date(s): L+.'.Lc - s.a <br><br> Specification Filed: <br><br> CSass: (S)...?r.0.n.ir;..i.5../0.©.T <br><br> .c.QZl&amp;^l.ha.i - <br><br> ..:..[.S.3Ld <br><br> NO DRAWINGS <br><br> N . Z . NO . <br><br> NEW ZEALAND Patents Act 1953 ^ " <br><br> COMPLETE SPECIFICATION Hirudin derivatives with delayed action <br><br> We,HOECHST AKTIENGESELLSCHAFT, of D-6230 Frankfurt am Mam 80, Federal Republic of Germany, a corporation organzied under the laws of the Federal Republic of Germany do hereby declare the invention, for which we pray that a patent may be granted to us, and the method by which it is to be performed, to be particularly described in and by the following statement:- <br><br> - 1 - (Followed by 1A) <br><br> O 0 D <br><br> L <br><br> r r'kn.i <br><br> 4 o 9 <br><br> \Pv - - . - i, V fc„ <br><br> WMMWMMRpllWe <br><br> Description <br><br> Hirudin derivatives with delayed action <br><br> The invention relates to hirudin derivatives which display a delayed action, to a process for the preparation thereof, and to the use thereof. <br><br> Hirudins are disclosed in, for example, EP-A 142,860, EP-A 158,564, EP-A 158,986, EP-A 168,342, EP-A 171,024, EP-A 193,175, EP-A 200,655, EP-A 209,061, EP-A 227,938, 10 DE 3,445,517 A1, DE 3,805,540.6 and Chang, FEBS, vol. 164 (1983) 307. Chang showed, inter alia, that C-terminal shortenings greatly impair the antithrombotic action of hirudin. The importance of hirudins for anticoagulant therapy has also been adequately described (for example 15 P. Walsmann and F. Markwardt; Pharmazie, 36 (1981) 653). <br><br> Thus, it specifically inhibits thrombin but is otherwise pharmacologically inert, i.e. no undesired side effects have hitherto been detected. <br><br> However, the relatively short retention time of the 20 hirudins in the animal or human body (Richter et al., <br><br> Haematol. 115 (1988) 64; Markwardt et al., Pharmazie 43 (1988) 202) may be regarded as disadvantageous for medical use as a thrombosis prophylactj.-. <br><br> Hence the invention had the object of finding new hirudin 25 derivatives which have a longer half-life or whose elimination is low. <br><br> This object is achieved, surprisingly, by hirudin derivatives formed from hirudin or the physiologically acceptable sc.lt thereof and a carrier. <br><br> 30 <br><br> Examples of suitable hirudins are the compounds described in the references cited on page 1, especially the compounds described in EP-A 171,024, EP-A 158,986, <br><br> 2 2 9 4 0 2 <br><br> pNZ 228964(available on request) <br><br> EP-A 209,061 andl(DE 3,805,540. 6 , )such as, for example, <br><br> 0 1 10 <br><br> Leu-Thr-Tyr-Thr-Asp-Cys-Thr-Glu-Ser-Gly-Gln-Asn-Leu-Cys- <br><br> 20 <br><br> 5 Leu-Cys-Glu-Gly-Ser-Asn-Val-Cys-Gly-Gln-Gly-Asn-Lys-Cys- <br><br> 30 40 <br><br> Ile-Leu-Gly-Ser-Asp-Gly-Glu-Lys-Asn-Gln-Cys-Val-Thr-Gly- <br><br> 50 <br><br> Glu-Gly-Thr-Pro-Lys-Pro-Gln-Ser-His-Asn-Asp-Gly-Asp-Phe- <br><br> 10 60 <br><br> Glu-Glu-Ile-Pro-Glu-Glu-Tyr-Leu-Gln. <br><br> These hirudins can be prepared by methods of peptide chemistry generally known to those skilled in the art, see, for example, Houben-Weyl, Methoden der organischen 15 Chemie (Methods of Organic Chemistry), volume 15/2, <br><br> preferably by means of solid-phase synthesis as de-- scribed, for example, by B. Merrifield, J. Am. Chem. Soc. <br><br> 85. 2ii9 ( 1963) or R.C. Sheppard, Int. J. Peptide Protein Res. 2X&gt; (1983) or by equivalent known methods. <br><br> 20 Alternatively, the said hirudins can also be obtained by methods of genetic manipulation known to those .skilled in the art. <br><br> Additionally suitable are the following hirudins modified by genetic engineering methods. Advantageously those 25 where, for example, two of the three lysines naturally occurring in the sequence have been replaced by a natural amino acid, preferably Arg or Asn. Furthermore also those hirudins which have been modified by specific N-(preferably Lys) or C-terminal (preferably Met) extension. In 30 the case of an N-terminal extension, the lysines occurring during the course of the sequence are replaced by another natural amino acid, preferably Asn or Arg. <br><br> 22 Q <br><br> - 3 - <br><br> Used as carriers are soluble carriers, especially polysaccharides such as, for example, dextrans (MW 20000-75000 dt) , preferably dextrans (MW 70000 dt), levans, heparins (MW 6000-20000 dt) or low molecular weight heparins (MW &lt; 6000 dt), polyethylene glycols (MW 1500-15000 dt) or gelatin partial hydrolysates, for example gelatin partial hydrolysates crosslinked with diiso-cyanates (polygeline, ®Haemaccel), or insoluble carriers such as, for example, Sepharoses, for example CH-Sepharose 4B (from Pharmacia), agaroses, cellulose, hydroxymethacrylates, all of which have been activated by known processes, but especially dextrans, heparins and low molecular weight heparins. <br><br> The ratio of hirudin to carrier in the hirudin derivatives can vary greatly. It depends on the nature of the carrier and the reaction conditions. <br><br> The invention also relates to a process for the preparation of the hirudin derivatives, which comprises hirudins being reacted with an active carrier at a temperature of 0°C to 25°C, preferably at 4°C. <br><br> The hirudin derivatives according to the invention are valuable thrombin inhibitors which are especially distinguished by an extended half-life, which in turn makt--wide-ranging use possible, for example in thrombosis prophylaxis. <br><br> Thus, the hirudins and hirudin derivatives are, for example, advantageously used for the surface-coating of heart valves (for example made of plastic), artificial vessels, catheters of biocompatible medical equipment or of filters, membranes and materials such as, for example, ceramics, or customary hemodialysis apparatus. The problem which arises in the determination and the detection of relevant blood components is that the blood which is to be investigated must be pretreated. This may entail problems for the validity of such tests. Tests tubes <br><br> coated with hirudin open up new possibilities to the practitioner. <br><br> Furthermore, hirudins and hirudin derivatives have applications in implants which are used, inter alia, also 5 for delayed release of the active substance, for example osmotic minipumps, biodegradable microcapsules, rods and liposome products. <br><br> The hirudin derivatives according to the invention show that hirudins can be reacted with high molecular weight 10 carrier materials with, surprisingly, retention of the hirudin activity. The pharmacokinetic behavior of the — hirudin is altered in an advantageous manner. If hirudin and dextran-hirudin are injected into rats in a comparison experiment and a thrombin inhibition assay is 15 used to measure the plasma concentration, a thrombin inhibition is measurable after one hour with an amount of dextran-hirudin which is about 10 times lower. Another advantage is, surprisingly, the increase in the half-life. It is 6 to 7 hours for dextran-hirudin whereas it 20 is -1 to. 2. hours for. hirudin (Markwardt et al. Pharmazie . <br><br> 43 (1988) 202). <br><br> The examples which follow, in which the isohirudin ( 'Leu- <br><br> )in German Patent Application 1(3,805,5406)is used, are intended to explain the invention 25 without, however, confining it to these. Those skilled in the art will be aware that all known hirudins can be reacted with a carrier in a manner equivalent to the hirudin employed, as well as the hirudins described on page 2. In this connection, it is possible for the 30 conditions for individual reactions to alter. <br><br> Example 1 Preparation of hirudin <br><br> Hirudin is synthesized, for example, in yeast cells which secrete hirudin as described in German Patent Application <br><br> I (P 3,805,540.6) (HOE 88/F 043). Hirudin is subsequently «-NZ 228064(available on request) <br><br> $ 4 i m - 5 - <br><br> ^translation available on concentrated by HP20 column chromatography (German Patent Application P 3,738,541.0; HOE 87/F 337)[. Dialysis and subsequent affinity chromatography on thrombin-Sepharose (Walsmann, P.: Pharmazie 36 (1981) 860-861) are followed 5 by final purification by reversed phase HPLC. <br><br> However, synthesis is also possible by use of other known methods of genetic manipulation or peptide chemistry. <br><br> Example 2 Administration of hirudin and subsequent thrombin inhibition assay <br><br> 10 Female and male Wistar rats with a body weight of about <br><br> 300 g are anesthetized with ethylurethane (1.5 g/kg i.p.). 1000 AT-U/kg of a hirudin derivative or authentic 'Leu-Thr-hirudin', which has been dissolved in physiological saline, are administered i.v. to the rats. A cath-15 eter is implanted in the carotid of the animals for blood sampling. Blood is taken from the animals and treated with citrate for the determination of anti-thrombin activity. 0.1 ml of the blood treated in this way is mixed with 0.2 ml of Tris/HCl-buffer (0.1 mol/1; pH 7.4) 20 and preincubated at 37°C. After nddition of 0.1 ml of a thrombin solution (10 NIH-U/ml) the coagulation time is determined using a Schnitger and Gross coagulometer. In parallel with the -'oeriment a calibration plot is constructed using reference plasma, from which the 25 particular plasma hirudin or plasma hirudin derivative concentration is read off. <br><br> Example 3 Dextran-hirudin <br><br> The 'coupling' of 'Leu-Thr-hirudin' onto dextran (MW 70000 dt) is effected by the method of Parikh, J. et al. 30 Heth. Enzymol. 34 (1974) 77. For this purpose, the dextran is activated by a treatment with meta-periodate at 4°C and subsequently dialyzed and freeze-dried. 2 g of activated dextran are then dissolved in 285 ml of 0.1 mol/1 sodium phosphate buffer (pH 8.8) at room <br><br> - 6 - <br><br> temperature, the solution is cooled to 4°C, 20 mg of hirudin are added, and the mixture is incubated at 4°C for 14 hours. Then 75 ml are removed and freeze-dried. After the low-molecular weight buffer salts have been 5 removed by gel filtration (®Sephadex G-25, 1 cm x 100 cm) <br><br> the solution is again freeze-dried. The reaction occurs between at least one of the three lysines and the activated dextran. <br><br> To reduce the Schiff's base which has formed, 75 mg of 10 NaBH4 are added to the 7 5 ml of incubated solution, and the solution is stirred at 4°C for 40 minutes and subsequently dialyzed against water at 4°C for 24 hours (membrane: Servapor Dialysis Tubing; diameter 10 mm, from Serva Feinbiochemica GmbH Heidelberg) . This is followed 15 by gel filtration on "Sephadex G-25 and lyophilization. <br><br> The dextran-hirudin is purified by means of thrombin-Sepharose affinity chromatography in accordance with Example 1. The dextran-hirudin activity is determined using the method of Griesbach et al. (Thromb. Res. 37 20 (1985) 347-350). This entails measurement of the inhibi tion of the thrombin-catalyzed cleavage of chromozyme TH. The measured activity on a molar basis corresponds to that of hirudin. The dextran-hirudin purified in this way is administered i.v. to Wistar rats as in Example 2. A 25 detectable concentration is found in the plasma of the rats after 1 hour. This can be described in the comparison experiment only with an approximately 10 times higher dose of hirudin. If the hirudin concentration in the plasma is followed further, it is found that the 30 half-life for elimination of the substance is 6-7 hours. <br><br> This is a distinct increase compared with hirudins (1-3 hours). The experimental animals used show no adverse effect on their well-being. <br><br> Example 4 Sepharose-hirudin <br><br> 35 <br><br> 8 mg of hirudin are dissolved in 2 ml of 0.1 M NaHC03 and 0.5 M NaCl at pH = 8.0. 400 mg of activated <br><br></p> </div>

Claims (6)

  1. <div class="application article clearfix printTableText" id="claims"> <p lang="en"> - 7 -<br><br> 22 9 4<br><br> CH-Sepharose 4 B (Pharmacia) are swollen in accordance with the manufacturer's instructions. The protein solution is then added to the carrier and left to stand at 23°C for 1.5 hours. The immobilisate is then filtered off 5 with suction and left to stand in 0.1 M TRIS, pH = 8.0,<br><br> for 1 hour to inactivate remaining binding groups. The carrier is subsequently washed in accordance with the manufacturer's instructions.<br><br> The protein coupling yield is 5 %. The biological ac-10 tivity is determined in vitro as in Example 2. The<br><br> Sepharose-hirudin is isolated from the treated plasma, washed with a 1 to 1.5 M NaCl solution and again employed in the inhibition assay. The measured activity is within the limit of error of the first measurement.<br><br> 2 2 (J 4 02<br><br> - 8 -<br><br> WHAT WE CLAIM IS:<br><br> 1 A hirudin derivative formed by covalent binding of hirudin or a physiologically acceptable salt thereof and a soluble carrier.<br><br>
  2. 2. A hirudin derivative as claimed in claim 1, wherein the carrier is a polysaccharide.<br><br>
  3. 3. A hirudin derivative as claimed in claim 1 or 2, wherein "N the carrier is a dextran or a heparin.<br><br>
  4. 4. A hirudin derivative as claimed in one or more of claims<br><br> 1 to 3, wherein the carrier is low molecular weight -heparin.<br><br>
  5. 5. A hirudin derivative as claimed in one or more of claims 1 to 4, wherein the hirudin is<br><br> 0 1 10<br><br> Leu-Thr-Tyr-Thr-Asp-Cys-Thr-Glu-Ser-Gly-Gln-Asn-Leu-Cys-<br><br> 20<br><br> Leu-Cys-Glu-Gly-Ser-Asn-Val-Cys-Gly-Gln-Gly-Asn-Lys-Cys-<br><br> 30 40<br><br> Ile-Leu-Gly-Ser-Asp-Gly-Glu-Lys-Asn-Gln-Cys-Val-Thr-Gly-<br><br> 50 &gt;<br><br> Glu-Gly-Thr-Pro-Lys-Pro-Gln-Ser-His-Asn-Asp-GlyVAsp^Phe-<br><br> %<br><br> .1 ^ j Of Tim<br><br> Glu-Glu-Ile-Pro-Glu-Glu-Tyr-Leu-Gln.<br><br> 60 -it<br><br> ^ J OC i n'ij<br><br> •\ &lt;-) //<br><br>
  6. 6. A hirudin derivative as claimed in one or more of claims 1 to 5/ wherein Lys 26 and Lys 35 or Lys 35 and Lys 46 or Lys 26 and Lys 46 in the hirudin have in each case been replaced by a natural amino acid.<br><br> 7.<br><br> A hirudin derivative as claimed in one or more of claims 1 to 6, wherein there has been replacement in the hirudin<br><br> of Lys 26 by Asn and Lys 35 or Lys 46 by Arg.<br><br> A hirudin derivative as claimed in one or more of claims 1 to 7, wherein the hirudin is now N-terminal extended, and Lys 26, Lys 35 and Lys 46 are replaced by other natural amino acids.<br><br> A hirudin derivative as claimed in one or more of claims 1 to 8, wherein the hirudin is C-terminal extended by one natural amino acid.<br><br> A process for the preparation of a hirudin derivative, which comprises hirudin being reacted with an activated carrier at a temperature of 0°C to 25°C.<br><br> The use of hirudin derivatives as claimed in any one of claims 1 to 9 in the preparation of a thrombin inhibitor.<br><br> A hirudin derivative according to claim 1 substantially as herein described or exemplified.<br><br> A process according to claim 10 substantially as herein described or exemplified.<br><br> HOECHST AKTIENGESELLSCHAFT By their attorneys HENRY HUGHES LTD<br><br> n; £<br><br> *2 A MM* ^92<br><br> </p> </div>
NZ229402A 1988-06-04 1989-06-02 Hirudin derivative bound to a soluble carrier NZ229402A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE3819079A DE3819079A1 (en) 1988-06-04 1988-06-04 HIRUDINE DERIVATIVES WITH DELAYED EFFECT

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NZ229402A true NZ229402A (en) 1992-05-26

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US (1) US5538946A (en)
EP (1) EP0345616B1 (en)
JP (1) JP2804514B2 (en)
KR (1) KR0140884B1 (en)
AT (1) ATE130315T1 (en)
AU (1) AU625215B2 (en)
CA (1) CA1340197C (en)
CY (1) CY2025A (en)
DE (2) DE3819079A1 (en)
DK (1) DK175103B1 (en)
ES (1) ES2080732T3 (en)
FI (1) FI98703C (en)
GR (1) GR3018364T3 (en)
HK (1) HK1006024A1 (en)
HU (1) HU204851B (en)
IE (1) IE72201B1 (en)
IL (1) IL90507A0 (en)
NO (1) NO177312C (en)
NZ (1) NZ229402A (en)
PT (1) PT90743B (en)
ZA (1) ZA894180B (en)

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DE3541856A1 (en) * 1985-11-27 1987-06-04 Hoechst Ag EUKARYOTIC FUSION PROTEINS, THEIR PRODUCTION AND USE, AND MEANS FOR CARRYING OUT THE PROCESS

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ZA894180B (en) 1990-02-28
HK1006024A1 (en) 1999-02-05
KR910001041A (en) 1991-01-30
DK175103B1 (en) 2004-06-01
CY2025A (en) 1998-02-20
EP0345616B1 (en) 1995-11-15
FI98703B (en) 1997-04-30
ES2080732T3 (en) 1996-02-16
EP0345616A3 (en) 1991-03-20
IE72201B1 (en) 1997-04-09
AU625215B2 (en) 1992-07-02
FI98703C (en) 1997-08-11
JPH0267300A (en) 1990-03-07
DE3819079A1 (en) 1989-12-07
DK270789A (en) 1989-12-05
PT90743B (en) 1994-10-31
KR0140884B1 (en) 1998-06-15
NO177312B (en) 1995-05-15
FI892686A (en) 1989-12-05
DE58909493D1 (en) 1995-12-21
DK270789D0 (en) 1989-06-02
AU3595589A (en) 1989-12-07
EP0345616A2 (en) 1989-12-13
HUT51298A (en) 1990-04-28
NO892267L (en) 1989-12-05
FI892686A0 (en) 1989-06-01
NO177312C (en) 1995-08-23
GR3018364T3 (en) 1996-03-31
NO892267D0 (en) 1989-06-02
PT90743A (en) 1989-12-29
HU204851B (en) 1992-02-28
CA1340197C (en) 1998-12-15
US5538946A (en) 1996-07-23
IL90507A0 (en) 1990-01-18
IE891815L (en) 1989-12-04
ATE130315T1 (en) 1995-12-15
JP2804514B2 (en) 1998-09-30

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